Da form 5521-2026

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The document is a form used to collect emergency data and designate beneficiaries for unpaid compensation of deceased Non-Appropriated Fund (NAF) employees. It outlines the required information, including personal details of the employee, emergency contacts, and beneficiary designations. The form emphasizes the importance of providing accurate information to ensure timely payment of benefits and allows employees to change their beneficiary designations as needed.

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Click ‘Get Form’ to open the DA Form 5521 in the editor.
Begin with Part A - Emergency Data. Fill in your employing NAFI activity, followed by your full name and date of birth in the specified format (YYYYMMDD).
Provide the contact details for the person to be notified in case of an emergency, including their name, address, email, and telephone number.
Next, designate a person to handle your estate in the event of death. Again, include their name, address, email, and telephone number.
Move on to Part B - Designation of Beneficiary. Clearly type or print the names and addresses of your beneficiaries along with their relationship to you and the percentage of compensation each should receive.
Complete the form by signing it and providing the date of execution. Ensure a witness signs as well, along with their contact information.

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